Sunrise of Bridgewater, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNRISE OF BRIDGEWATER, LLC

Practice address

390 Route 22
Bridgewater, NJ 08807-2478

Phone

(908) 605-2074

Fax

(908) 605-2075

NPI assigned

May 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Graf

Title

Executive Director

Phone

(908) 605-2074

Specialties & licenses 1

Addresses

Other names 1

• Sunrise of Bridgewater Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1104481399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ROUTE 22",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072478",
            "telephone_number": "908-605-2074",
            "fax_number": "908-605-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ROUTE 22",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072478",
            "telephone_number": "908-605-2074",
            "fax_number": "908-605-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE OF BRIDGEWATER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-605-2074"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Bridgewater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Frances X. Sun, RVT, RPVI
• Karen Hong Xue Sun, M.D.
• Hina Suri
• Lauri Susienka
• Danielle Victoria Sutton, LSW
• Lisa Swan
• Andrew W. Sylvester, M.D.

• Assisted Living Facility in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.